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Spring '13-126 (Exam 2) > 3/11-Oral Motor and Feeding Skills > Flashcards

3/11-Oral Motor and Feeding Skills Flashcards

1
Q

What is critical component to speech assessments?

A

Oral Motor Exam

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2
Q

What does an oral motor exam measure?

A

structural and functional integrity of speech mechanism

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3
Q

What do SLPs observe in the oral structures?

A

size, shape, and adequacy of structure

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4
Q

What are the structures observed by SLPs during an OME?

A
  • teeth & occlusion
  • hard & soft palate
  • tongue
  • face, nose, mouth
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5
Q

Why and how do we test the function of oral structures?

A
  • we test the adequacy of the system to produce non speech and speech related movement
  • Imitation task
  • through Diadokinetic Rate (DDK)
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6
Q

what is DDK?

A
  • Diadokinetic Rate

- rapid alternating sequences of syllable repetition

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7
Q

When should we achieve normal DDK rates?

A

ages 9-15

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8
Q

When we check the lips, how do we check structure?

A
  • drooping
  • drooling
  • resting position
  • scarring
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9
Q

When we check the lips, how do we check function?

A
  • Range of Motion-Smile vs. pucker
  • Pressurizing-without losing air from nose
  • DDK rate for /p^/
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10
Q

What do we check when checking the structure of the tongue?

A
  • size
  • atrophy
  • abnormal movements
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11
Q

What do we check when checking the function of the tongue?

A

-mobility–protrusion, elevation, lateralization, rotation ** double check this!

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12
Q

When we check the tongue, how do we check function?

A
  • Strength

- mobility-ROM, Ankyloglossia (DDK rate for /t^/)

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13
Q

When we check the Hard Palate, how do we check structure?

A
  • height and width: too high may signify structural issues
  • color: blue tint at midline may indicate submucosa cleft
  • check for clefts, fistulas, fissures, or appliances
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14
Q

When we check the hard Palate, how do we check function?

A

-it is an immobile structure–nothing to test here!

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15
Q

When we check the soft palate, what do we check with structure?

A
  • condition of the uvula (bifid=submucosa cleft)
  • symmetry and length
  • repaired cleft
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16
Q

What do we check when checking the function of the soft palate?

A
  • movement of velum during production of /ɑ/ either sustained or repeated
  • listen for hyper nasal or hyponasal speech during production of stop consonants
17
Q

What do we check when checking the structure of the teeth?

A
  • overall condition
  • missing/extra teeth
  • occlusion patter (open bite, over jet, cross bite)
18
Q

When should all baby teeth be in by?

A

age 2

19
Q

When should the first permanent teeth appear?

A

-by ages 6-7

20
Q

When do the last permanent teeth erupt?

A

by ages 17-21

21
Q

What equipment is necessary for an Oral Motor Exam?

A
  • flashlight
  • tongue depresor
  • gloves
  • stopwatch
  • mirror (for students who need visual feedback)
22
Q

In terms of feeding skills at what age do we still assist with feeding?

A

6-9 months

23
Q

In terms of feeding skills at what age do they finger feed?

A

9-12 months

24
Q

In terms of feeding skills at what age do they hold the cup and start using spoons?

A

12-15 months

25
Q

In terms of feeding skills at what age do they use the straw and use the spoon independently

A

15-18 months

26
Q

In terms of feeding skills at what age do they feed themselves without assistance?

A

18-24 months

27
Q

In terms of feeding skills at what age do they use forks & spoons without spillage?

A

2-3 years

28
Q

By what age do they feed and drink independently?

A

5 years

29
Q

is there a relationship between feeding skills and speech development?

A

yes

30
Q

What is not commonly part of routine speech assessments?

A

observation of swallowing

31
Q

what is abnormal swallowing referred to as? and who commonly manages it?

A
  • dysphagia

- common practice among medical SLPs

32
Q

What is the challenge for SLPs in educational setting?

A

limited medical support

Spring '13-126 (Exam 2) (7 decks)

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